Mineral Prostate Gland?

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Mineral Prostate Gland?

This is a case in which I didn’t notice anything at the time, but now reviewing the images wondering if I missed something and now wish I took more images.

– 10 year old MN Collie cross with hindend weakness, knuckling and lethargy

– echocardiogram showed CVD, good systolic function, no LAE, no pulmonary hypertension; ECG normal

– pet has  had a history of seizures (for a few years now) and currently on phenobarb and KBR

– bloodwork mild elevation in ALP, mild decrease ALB – other parameters normal

This is a case in which I didn’t notice anything at the time, but now reviewing the images wondering if I missed something and now wish I took more images.

– 10 year old MN Collie cross with hindend weakness, knuckling and lethargy

– echocardiogram showed CVD, good systolic function, no LAE, no pulmonary hypertension; ECG normal

– pet has  had a history of seizures (for a few years now) and currently on phenobarb and KBR

– bloodwork mild elevation in ALP, mild decrease ALB – other parameters normal

– abdominal ultrasound normal – no lymphadenopathy (normal medial iliac LN’s)

– now looking distal to the trigone of the UB, I am wondering if I am seeing a prostate with mineral present – which would be a bad thing in a neutered dog. What do you think?  I think I need to rescan this region more thoroughly.

Thanks

Comments

EL

I dont think it has anything

I dont think it has anything to do with the clinical signs but these are either embedded stones so see if stones in kidneys… or beyond th eprostate there is mineralization so this could be early urethral tcc emerging. Traumatic catheterization best here. Search urethral carcinoma on the basic search.

http://sonopath.com/members/case-studies/search?text=urethral+carcinoma&species=All

EL

I dont think it has anything

I dont think it has anything to do with the clinical signs but these are either embedded stones so see if stones in kidneys… or beyond th eprostate there is mineralization so this could be early urethral tcc emerging. Traumatic catheterization best here. Search urethral carcinoma on the basic search.

http://sonopath.com/members/case-studies/search?text=urethral+carcinoma&species=All

Pankatz

I do believe there are some

I do believe there are some small foci (non-shadowing) of mineral in the kidneys – see clip above that I added, but nothing that looks like renoliths.

Have recommended to recheck in 1-2 months just in case.

Thanks – nice to have a second set of eyes on these cases!

 

Pankatz

I do believe there are some

I do believe there are some small foci (non-shadowing) of mineral in the kidneys – see clip above that I added, but nothing that looks like renoliths.

Have recommended to recheck in 1-2 months just in case.

Thanks – nice to have a second set of eyes on these cases!

 

marty

I agree, more likely embedded

I agree, more likely embedded uroliths or mineral sediment in the urethra than prostatic ACA.  Definitely a good idea to reimage in a month or 2 but from what is posted here, I’m not too concerened about prostatic mineralization.  Unrelated to Clinical signs too if there are changes there.  Another key point is when was the patient neutered (this case or others with mineral in the prostate)?  If neutered as an adult, prostatic mineralization is not pathopneumonic for TCC or adenocarcinoma because chronic prostatitis can and does lead to dystrophic mineralization that is benign in most cases.  If however the patient was neutered at a young age, then prostatic mineralization is pathopneumonic for neoplasia.

marty

I agree, more likely embedded

I agree, more likely embedded uroliths or mineral sediment in the urethra than prostatic ACA.  Definitely a good idea to reimage in a month or 2 but from what is posted here, I’m not too concerened about prostatic mineralization.  Unrelated to Clinical signs too if there are changes there.  Another key point is when was the patient neutered (this case or others with mineral in the prostate)?  If neutered as an adult, prostatic mineralization is not pathopneumonic for TCC or adenocarcinoma because chronic prostatitis can and does lead to dystrophic mineralization that is benign in most cases.  If however the patient was neutered at a young age, then prostatic mineralization is pathopneumonic for neoplasia.

Pankatz

Thanks Marty
This patient was

Thanks Marty

This patient was neutered at a young age. We will continue to monitor

Jacquie

Pankatz

Thanks Marty
This patient was

Thanks Marty

This patient was neutered at a young age. We will continue to monitor

Jacquie

mandy

Test
Test

mandy

Test
Test

mandy

Yest
Yest

mandy

Yest
Yest

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